Orange Envelope Application

 
1 Start 2 Application 3 Complete

If your child has been diagnosed with cancer within the last six months, please complete the information below so we can send a one-time Orange Envelope gift to you and your All-Star

  • Pinky Swear processes applications monthly.

  • Meeting the criteria in this application does not guarantee approval.

  • Pinky Swear will notify by email the primary contact and social worker listed whether or not your request was approved.

  • Orange Envelopes that are approved will be dispersed the last week of each month.

To complete the application you will need:

  • Your clinical social worker's contact information.

  • Please submit your application through the online form only. We can not accept fax or printed applications.